Individual Information

CARLETON KEVIN SAMPSON

RENO, NV 89509

Active

kevin@healthbenefits.net

07/16/1987

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	22290	10/01/2001	Active	10/01/2001	09/03/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001
Var. Annuities/Var. Life	10/01/2001	Active	10/01/2001
Casualty	07/16/1987	Inactive	10/01/2001
Casualty	03/28/1989	Inactive	10/01/2001
Health	07/16/1987	Inactive	10/01/2001
Health	03/28/1989	Inactive	10/01/2001
Life	07/16/1987	Inactive	10/01/2001
Life	03/28/1989	Inactive	10/01/2001
Property	07/16/1987	Inactive	10/01/2001
Property	03/28/1989	Inactive	10/01/2001
Surety	10/15/1987	Inactive	01/01/2020
Surety	03/28/1989	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
106276
AETNA HEALTH INC (PA)	Health	Active	07/01/2009
770
Company Name	Appointment Type	Status	Active Date
AETNA HEALTH INSURANCE COMPANY	Health	Active	06/07/2007
7
Company Name	Appointment Type	Status	Active Date
AETNA LIFE INSURANCE COMPANY	Health	Active	01/30/2001
	Life	Active	01/30/2001
1460
Company Name	Appointment Type	Status	Active Date
ALPHA DENTAL OF NEVADA INC	Health	Active	01/31/2014
203
Company Name	Appointment Type	Status	Active Date
DELTA DENTAL INSURANCE COMPANY	Health	Active	01/31/2014
300
Company Name	Appointment Type	Status	Active Date
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA	Health	Active	06/12/1991
	Life	Active	06/12/1991
1379
Company Name	Appointment Type	Status	Active Date
HOMETOWN HEALTH PLAN INCORPORATED	Health	Active	10/02/2020
995
Company Name	Appointment Type	Status	Active Date
HOMETOWN HEALTH PROVIDERS INSURANCE COMPANY	Health	Active	10/02/2020
103
Company Name	Appointment Type	Status	Active Date
PRINCIPAL LIFE INSURANCE COMPANY	Health	Active	12/15/2023
	Life	Active	12/15/2023
1550
Company Name	Appointment Type	Status	Active Date
PROMINENCE HEALTHFIRST	Health	Active	10/18/2022
1155
Company Name	Appointment Type	Status	Active Date
UNIMERICA INSURANCE COMPANY	Health	Active	09/07/2006
	Life	Active	09/07/2006
129901
Company Name	Appointment Type	Status	Active Date
VSP VISION CARE INC	Health	Active	10/07/2022
952
Company Name	Appointment Type	Status	Active Date
WELLPOINT LIFE AND HEALTH INSURANCE COMPANY	Health	Active	07/01/2004
	Life	Active	07/01/2004

row(s) 1 - 18 of 18

Organization	Association Type	Type	Beg dte	End dte
HEALTH BENEFITS ASSOCIATES	Designated Resp Lic Prdcr	Agency	11/17/2020	-

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